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If your steroid cycle ends with all small ester base steroids, you will begin HCG therapy 3 days after your last injection and follow it with SERM therapy once HCG use is complete. For these patients, you are responsible to ensure that you maintain HCG dosages between your last injection and your first day of SERM therapy until you achieve a steady baseline for your HCG regimen. In the above example, our patient is not maintaining a steady baseline HCG dosage. She has failed to make sure her dose of HCG is consistent at each dose and has not been on HCG regularly the past few months. The dose she needs will depend on the duration and severity of her HCG syndrome, as well as your particular patient's history.If your steroid cycle begins with all small base steroids and is followed approximately 3 days later by a single injection of SERM, your HCG dosing should be approximately 10 units daily. This is an average initial HCG dose for patients with mild to mild to moderate HCG syndrome. It is important to maintain the same target HCG dosage throughout each cycle. For example, we would start with a target HCG dosage of 10 units and add a dose of 1 unit daily every 4 weeks thereafter. It is important to ensure that you are following a consistent HCG regimen.For more information on HCG dosing and administration, please see the HCG Dose for Patients with Mild to Moderate HCG Syndrome page.The following charts summarize the various intervals (in days) between HCG treatments for nonmetastatic steroid users with mild to moderate HCG syndrome. The chart includes a total of seven chart-linked intervals between nonmetastatic steroid users using HCG.Chart-Linked Intervals Between HCG TreatmentsNonmetastatic Steroid Users using HCG – 7 Intervals HCG Interval Interval Total Time (Days) HCG IntervalMedian HCG IntervalLowMedian HCG IntervalHighIn 1-14 Days 11.1 10.6 -6.2 0.9 4.9 – 4.5 8.4 17.4 -8.2 11.6 – 12.5 2.9In 15-99 Days 14.2 11.9 -2.7 -4.1 4.8 – 4.2 8.1 21.9 -5.9 13.4 – 14.5 3.3 2.8In More than 100 Days 14.7 11.9 2.6 -5.6 4.8 – 5.1 8.7 20.3Similar articles: